Victor M. Petriella D.M.D.

NPI 1093763724 - Dentist - 1223S0112X

NPI Details
NPI 1093763724
Gender Male
Enumeration Date 05/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
177 IRVINGTON AVE
SOUTH ORANGE NJ, 07079-2264, US
Phone (973) 762-5773
Fax (973) 762-5003
Business Location
177 IRVINGTON AVE
SOUTH ORANGE NJ, 07079-2264, US
Phone (973) 762-5773
Fax (973) 762-5003
Toxanomy
Taxonomy Code 1223S0112X
License State New Jersey
License Number 08898
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According to our database, Dr. Victor M. Petriella D.M.D. NPI is 1093763724, taxonomy code is 1223S0112X and license number is 08898, license state is located at New Jersey. Victor M. Petriella D.M.D. physically located at 177 Irvington Ave, South Orange NJ, 07079-2264. NPI Number Victor M. Petriella D.M.D. has the Individual type.

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1093763724 NPI number is provided on an as is basis without warranty of any kind. 1093763724 is maintained by the National Plan & Provider Enumeration System. The contents of Victor M. Petriella D.M.D. are for informational purposes only.